JP4481050B2 - 受動的外科用クリップ - Google Patents
受動的外科用クリップ Download PDFInfo
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- JP4481050B2 JP4481050B2 JP2004087360A JP2004087360A JP4481050B2 JP 4481050 B2 JP4481050 B2 JP 4481050B2 JP 2004087360 A JP2004087360 A JP 2004087360A JP 2004087360 A JP2004087360 A JP 2004087360A JP 4481050 B2 JP4481050 B2 JP 4481050B2
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- 230000008878 coupling Effects 0.000 claims 1
- 238000010168 coupling process Methods 0.000 claims 1
- 238000005859 coupling reaction Methods 0.000 claims 1
- 238000000034 method Methods 0.000 description 10
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 4
- 229910045601 alloy Inorganic materials 0.000 description 3
- 239000000956 alloy Substances 0.000 description 3
- 230000000740 bleeding effect Effects 0.000 description 3
- 229910001069 Ti alloy Inorganic materials 0.000 description 2
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 2
- 238000005452 bending Methods 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 229910000734 martensite Inorganic materials 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000002324 minimally invasive surgery Methods 0.000 description 2
- 229910001000 nickel titanium Inorganic materials 0.000 description 2
- 229910052697 platinum Inorganic materials 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 229910052715 tantalum Inorganic materials 0.000 description 2
- GUVRBAGPIYLISA-UHFFFAOYSA-N tantalum atom Chemical compound [Ta] GUVRBAGPIYLISA-UHFFFAOYSA-N 0.000 description 2
- 229910052719 titanium Inorganic materials 0.000 description 2
- 239000010936 titanium Substances 0.000 description 2
- HZEWFHLRYVTOIW-UHFFFAOYSA-N [Ti].[Ni] Chemical compound [Ti].[Ni] HZEWFHLRYVTOIW-UHFFFAOYSA-N 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 229910001092 metal group alloy Inorganic materials 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
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- 230000002093 peripheral effect Effects 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
- B23P—METAL-WORKING NOT OTHERWISE PROVIDED FOR; COMBINED OPERATIONS; UNIVERSAL MACHINE TOOLS
- B23P15/00—Making specific metal objects by operations not covered by a single other subclass or a group in this subclass
- B23P15/28—Making specific metal objects by operations not covered by a single other subclass or a group in this subclass cutting tools
- B23P15/40—Making specific metal objects by operations not covered by a single other subclass or a group in this subclass cutting tools shearing tools
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B17/1227—Spring clips
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
- B23D—PLANING; SLOTTING; SHEARING; BROACHING; SAWING; FILING; SCRAPING; LIKE OPERATIONS FOR WORKING METAL BY REMOVING MATERIAL, NOT OTHERWISE PROVIDED FOR
- B23D35/00—Tools for shearing machines or shearing devices; Holders or chucks for shearing tools
- B23D35/001—Tools for shearing machines or shearing devices; Holders or chucks for shearing tools cutting members
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B17/1222—Packages or dispensers therefor
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Mechanical Engineering (AREA)
- Surgical Instruments (AREA)
Description
(A) 外科用クリップであって、
(a)第1の端部及びブリッジ端部を有する第1のアームと、
(b)リテーナ及びブリッジ端部を有する第2のアームと、
(c)前記第1のアームの前記ブリッジ端部と前記第2のアームの前記ブリッジ端部とを連結するブリッジ部分とを含み、
前記第1のアームと前記第2のアームとの間にスペースが画定されており、前記リテーナが、前記第2のアームから前記スペース内に延びており、
前記第1のアーム、前記第2のアーム、及び前記ブリッジ部分が概ねU字型構造であることを特徴とする外科用クリップ。
(1)前記リテーナが実質的に弾性を有することを特徴とする実施態様(A)に記載のクリップ。
(2)前記リテーナが組織刺入先端部を有することを特徴とする実施態様(A)に記載のクリップ。
(3)前記組織刺入先端部がバーブを含むことを特徴とする実施態様(2)に記載のクリップ。
(4)前記リテーナが前記第1のアームに向かって延びていることを特徴とする実施態様(A)に記載のクリップ。
(5)前記第1のアームが、前記スペースに連通したノッチを画定しており、前記リテーナが前記ノッチ内に部分的に延在していることを特徴とする実施態様(4)に記載のクリップ。
(7)前記リテーナが曲線状であることを特徴とする実施態様(A)に記載のクリップ。
(8)前記クリップが、前記ブリッジ部分の反対側の端部で開口を画定しており、前記リテーナが、前記開口に向かって凹面を形成していることを特徴とする実施態様(7)に記載のクリップ。
(9)前記クリップが、前記ブリッジ部分の反対側の端部で開口を画定しており、前記リテーナが、前記開口に向かって凸面を形成していることを特徴とする実施態様(7)に記載のクリップ。
(10)前記第1のアームもまた、前記スペース内に延びたリテーナを含むことを特徴とする実施態様(A)に記載のクリップ。
(12)前記第1のアーム及び前記第2のアームのそれぞれが、複数のリテーナを含み、前記第1のアームの前記リテーナと前記第2のアームの前記リテーナとが交互に配置されていることを特徴とする実施態様(11)に記載のクリップ。
(13)前記第2のアームが第2のリテーナを含むことを特徴とする実施態様(A)に記載のクリップ。
(14)前記第2のリテーナが塑性変形可能であることを特徴とする実施態様(13)に記載のクリップ。
(15)更に、前記クリップを近接する基端側クリップ及び近接する先端側クリップに連続して配置するための手段を含むことを特徴とする実施態様(A)に記載のクリップ。
(17)前記ブリッジ部分が、突出部及び凹部の少なくとも一方を含み、前記第1のアーム及び前記第2のアームの少なくとも一方の内側部分が、前記突出部及び前記凹部の少なくとも一方に一致する形状を有することを特徴とする実施態様(A)に記載のクリップ。
(18)前記クリップが、チタンまたはチタン合金から形成されることを特徴とする実施態様(A)に記載のクリップ。
(19)前記クリップが、ステンレス鋼、タンタル、プラチナ、放射線不透過性材料、ニッケルチタン合金、マルテンサイト合金、及びプラスチックの1つから形成されることを特徴とする実施態様(A)に記載のクリップ。
(20)前記第1のアーム、前記第2のアーム、及び前記ブリッジ部分が実質的に剛性を有することを特徴とする実施態様(A)に記載のクリップ。
(22)前記クリップの高さに対する長さの比が約2.5〜5の範囲であることを特徴とする実施態様(A)に記載のクリップ。
(B) 外科用クリップであって、
(a)第1の端部及びブリッジ端部を有する第1のアームと、
(b)前記第1のアームとの間にスペースを画定する、第1の端部及びブリッジ端部を有する第2のアームと、
(c)前記第1のアームの前記ブリッジ端部と前記第2のアームの前記ブリッジ端部とを連結するブリッジ部分と、
(d)前記第1のアーム及び前記第2のアームの一方から前記スペース内に延びたリテーナと、
(e)前記クリップを近接する基端側クリップ及び近接する先端側クリップに連続して配置するための手段とを含むことを特徴とする外科用クリップ。 (23)前記手段が、前記クリップを近接する基端側クリップ及び近接する先端側クリップに機械的にインターロックすることを特徴とする実施態様(B)に記載のクリップ。
(24)連続して配置するための前記手段が、前記ブリッジ部分における突出部及び凹部の少なくとも一方を含み、前記第1のアーム及び前記第2のアームの少なくとも一方の内側部分における前記突出部及び前記凹部の少なくとも一方に一致する形状を有することを特徴とする実施態様(B)に記載のクリップ。
(25)前記ブリッジ部分がΩ状突出部を含むことを特徴とする実施態様(24)に記載のクリップ。
(C) 外科用クリップの列であって、直線状に機械的にインターロックされた複数の外科用クリップを含むことを特徴とする外科用クリップの整列。
(27)前記外科用クリップのそれぞれが、基端側突出部と、近接する先端側クリップの前記基端側突出部に係合するように適合された先端側構造とを含むことを特徴とする実施態様(C)に記載の外科用クリップの列。
(28)前記機械的にインターロックされた複数のクリップから1つのクリップを、そのクリップと残りの前記複数のクリップとの間に引張力を加えて取り外し可能であることを特徴とする実施態様(27)に記載の外科用クリップの列。
(29)前記クリップがそれぞれ、(i)第1の端部及びブリッジ端部を有する第1のアームと、(ii)リテーナ及びブリッジ端部を有する第2の端部と、(iii)前記第1のアームの前記ブリッジ端部と前記第2のアームの前記ブリッジ端部を連結するブリッジ部分とを含み、前記第1のアームと前記第2のアームがそれらの間にスペースが画定されており、前記リテーナが、前記第2のアームから前記スペース内に延びていることを特徴とする実施態様(C)に記載の外科用クリップの列。
(30)前記リテーナが、前記第1のアーム及び前記ブリッジ部分に向かって後方に延びていることを特徴とする実施態様(29)に記載の整列。
(a)(i)第1の端部及びブリッジ端部を有する第1のアームと、(ii)リテーナ及びブリッジ端部を有する第2のアームと、(iii)前記第1のアームの前記ブリッジ端部と前記第2のアームの前記ブリッジ端部とを連結するブリッジ部分とを含み、前記第1のアームと前記第2のアームとの間にスペースが画定されており、前記リテーナが、前記第2のアームから前記スペース内に延びていて、前記第1のアームと前記第2のアームとの間の前記スペース内への進入を少なくとも部分的に妨げるクリップを用意するステップと、
(b)前記リテーナが前記組織によって曲げられて前記クリップが前記組織に対して移動できるように、前記第1のアーム及び前記第2のアームを前記組織に押圧して、前記クリップを前記組織に対して進めるステップとを含むことを特徴とする方法。
(31)更に、(c)前記クリップを前進させる前に、前記組織を圧迫するステップを含むことを特徴とする実施態様(D)に記載の方法。
(32)更に、(d)クリップアプライヤー装置を用意するステップを含み、前記組織を圧迫する前記ステップが、前記クリップアプライヤー装置によって行われることを特徴とする実施態様(31)に記載の方法。
410 外科用クリップ
412 第1のアーム
414 第2のアーム
416 ブリッジ部分
418 スペース
422 リテーナ
424 アーム先端部
425、430 キャッチ部分
426 バーブ先端部
427 バーブ
428 ノッチ
432 オメガ状突出部
434、436 凹部
Claims (7)
- 外科用クリップであって、
(a)第1の端部及びブリッジ端部を有する第1のアームと、
(b)第1の端部およびブリッジ端部を有する第2のアームと、
(c)前記第1のアームの前記ブリッジ端部と前記第2のアームの前記ブリッジ端部とを連結するブリッジ部分と、
(d)前記第1のアームの前記第1の端部から湾曲して後方に延びたリテーナと、
を含み、
前記第1のアームと前記第2のアームとの間にスペースが画定されており、
前記リテーナは、前記スペース内に延びており、先端部を備え、弾性変形可能であり、前記第1アームに対して所与の角度をなし、当該外科クリップを組織を挟んだ状態で進行させると前記第1のアームの方へ弾性的に変形するよう形成されており、
前記第1のアーム、前記第2のアーム、及び前記ブリッジ部分が概ねU字型構造である、外科用クリップ。 - 請求項1に記載の外科用クリップであって、
前記クリップを近接する基端側クリップ及び近接する先端側クリップに連結するための手段とを含み、
前記連結するための手段は、当該クリップを近接する基端側クリップ及び近接する先端側クリップに機械的にインターロックするように形成され、
前記連結するための手段は、前記ブリッジ端部に設けられた突出部と凹部との少なくともいずれかと、前記第1のアームと前記第2のアームとの少なくともいずれかの内側に前記突出部と凹部との少なくともいずれかに対応する形状とを含む、外科用クリップ。 - 請求項1または2に記載の外科用クリップであって、
前記ブリッジ端部はΩ状突出部を含む、外科用クリップ。 - 請求項1〜3のいずれかに記載の外科用クリップであって、
前記第1のアームと前記第2のアームとは互いに平行である、外科用クリップ。 - 請求項1〜4のいずれかに記載の外科用クリップであって、
前記第1のアームと前記第2のアームとの少なくともいずれかは、複数のリテーナを備える、外科用クリップ。 - 外科用クリップの列であって、直線状に機械的にインターロックされた複数の請求項1〜5のいずれかに記載の外科用クリップを含む、外科用クリップの列。
- 請求項6に記載の外科用クリップの列であって、
機械的にインターロックされたクリップ列の1つのクリップと残りのクリップとの間に引張力をかけることによって、前記1つのクリップが前記クリップ列から切り離し可能である、外科用クリップの列。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/396,240 US20040193189A1 (en) | 2003-03-25 | 2003-03-25 | Passive surgical clip |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005007151A JP2005007151A (ja) | 2005-01-13 |
JP4481050B2 true JP4481050B2 (ja) | 2010-06-16 |
Family
ID=32824955
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004087360A Expired - Fee Related JP4481050B2 (ja) | 2003-03-25 | 2004-03-24 | 受動的外科用クリップ |
Country Status (5)
Country | Link |
---|---|
US (1) | US20040193189A1 (ja) |
EP (1) | EP1462061A3 (ja) |
JP (1) | JP4481050B2 (ja) |
KR (1) | KR101061384B1 (ja) |
CA (1) | CA2461887C (ja) |
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-
2003
- 2003-03-25 US US10/396,240 patent/US20040193189A1/en not_active Abandoned
-
2004
- 2004-03-18 EP EP04251566A patent/EP1462061A3/en not_active Withdrawn
- 2004-03-24 KR KR1020040020003A patent/KR101061384B1/ko not_active IP Right Cessation
- 2004-03-24 JP JP2004087360A patent/JP4481050B2/ja not_active Expired - Fee Related
- 2004-03-25 CA CA2461887A patent/CA2461887C/en not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
KR101061384B1 (ko) | 2011-09-02 |
CA2461887A1 (en) | 2004-09-25 |
US20040193189A1 (en) | 2004-09-30 |
EP1462061A3 (en) | 2004-11-17 |
KR20040084766A (ko) | 2004-10-06 |
CA2461887C (en) | 2012-06-05 |
EP1462061A2 (en) | 2004-09-29 |
AU2004201036A1 (en) | 2004-10-14 |
JP2005007151A (ja) | 2005-01-13 |
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